Epic Payer Platform Operations Analyst - Remote at NTT DATA

Louisville, Kentucky, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Apr, 26

Salary

0.0

Posted On

05 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Epic Payer Platform, Healthcare Interoperability, Agile Software Development, Communication, Documentation, Collaboration, SQL, Root Cause Analysis, Problem Solving, Change Control, API Gateways, EDI Transactions, Operational Excellence, Security Mindset, Continuous Improvement

Industry

IT Services and IT Consulting

Description

Platform Administration & Operations Support the operational administration of Epic Payer Platform (e.g., Interconnect/Bridge, Payer Platform Console, Payer data sharing configurations) including environment health checks, routine maintenance, upgrades/patching, and change control. Configure, test, and maintain payer‑to‑provider workflows: coverage discovery (eligibility), prior authorization, claims status, clinical data exchange, care gap notifications, formulary/benefit, and provider inquiry/response. Maintain and execute runbooks for deployments, failover, disaster recovery, and incident management; ensure auditable change records. Support EDI/X12 transactions (270/271 eligibility, 276/277 claim status, 278 prior auth, 834 enrollment where applicable, 835 remittance) and related translation/validation processes. Collaborate with interface teams to maintain API gateways, message queues, and secure connectivity (TLS, mutual auth, certificates, VPN tunnels); track throughput, error rates, and latency. Perform root cause analysis; create problem records; implement corrective actions and preventative measures. Coordinate with Epic TS/Customer Support, vendor partners, and provider IT teams for change windows, go‑lives, and escalations. Contribute to backlog grooming and quarterly planning; quantify business value (e.g., reduced turnaround time, decreased call volume, improved first‑pass rates). 1+ years administering healthcare interoperability platforms (Epic, payer APIs/interfaces, or equivalent) or educational equivalent. 8+ Years of Experience with Agile Software Development Life Cycle 8+ Years of Excellent communication, documentation, and cross‑functional collaboration skills. Epic‑related exposure (Tapestry/Payer workflows), Epic operational tools, or Epic certifications (helpful but not strictly required). Experience with Da Vinci Implementation Guides (CRD, DTR, PAS, PDex, P2P) and CARIN BB. Familiarity with SQL for ad‑hoc data validation. Hands‑on experience with Epic concepts such as Interconnect, Chronicles awareness, Payer Platform configuration, and provider connectivity patterns. Operational Excellence: Reliable execution, disciplined change control, strong service orientation. Analytical Problem‑Solving: Skilled at root cause analysis across network, identity, payload, and workflow layers. Security Mindset: Designs and operates with least privilege, zero trust principles, and auditability. Continuous Improvement: Data‑driven approach to reducing friction and cycle times.

Responsibilities

Support the operational administration of the Epic Payer Platform, including maintenance, upgrades, and change control. Collaborate with teams to maintain workflows and ensure effective communication across various platforms.